Thousand Mile Journey LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3110-33 Issued in WI

Legal business name

THOUSAND MILE JOURNEY LLC

Practice address

10501 W Research Drive
Suite G200
Milwaukee, WI 53226-3444

Phone

(414) 543-3333

Fax

(414) 302-1040

NPI assigned

Jul 16, 2015

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anne Ania Person, FNP

Title

President

Phone

(414) 543-3333

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

The Heart Mile Journey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Heart Mile Journey

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1851765911
  NPD tax ID

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Gerard, MD

  • Family Medicine Physician
  • Mequon, WI
  • NPI 1598742652
  Medicare reassignment NPD
• Anne Ania Person, NP, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1801953948
  Medicare reassignment NPD
• Linda J Bell, MSW

  • Social Worker
  • West Allis, WI
  • NPI 1811005119
  NPD (past)
• Terrill Lewis Bruett, ED.D.

  • Psychologist
  • Waukesha, WI
  • NPI 1922194737
  NPD (past)
• Lynda Diane Dahlke, PHD

  • Clinical Psychologist
  • Waukesha, WI
  • NPI 1457535676
  NPD (past)
• Marian Lynn Freund, MA

  • Psychologist
  • Waukesha, WI
  • NPI 1649388943
  NPD (past)
• Paul Kenneth Glass, PH.D.

  • Psychologist
  • Waukesha, WI
  • NPI 1255346078
  NPD (past)
• Amy Catherine Gurka, PH.D.

  • Clinical Psychologist
  • Waukesha, WI
  • NPI 1578572335
  NPD (past)
• David Holloway, M.D.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1821195777
  NPD (past)
• Matthew Ray Kangas, LCSW

  • Clinical Social Worker
  • Waukesha, WI
  • NPI 1154674448
  NPD (past)
• S John Kim, MD

  • Psychiatry Physician
  • Hales Corners, WI
  • NPI 1760599807
  NPD (past)
• Anne I Koplin, MD

  • Psychiatry Physician
  • Madison, WI
  • NPI 1457444374
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1699159962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W RESEARCH DR",
            "address_2": "SUITE G200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263449",
            "telephone_number": "414-543-3333",
            "fax_number": "414-302-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W RESEARCH DRIVE",
            "address_2": "SUITE G200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263444",
            "telephone_number": "414-543-3333",
            "fax_number": "414-302-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND MILE JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "ANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-543-3333",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3110-33",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699159962",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Thornton, CSAC
• Alexandra Thorpe, OTR
• Michelle Thorpe
• Brooke Nicole Thorson, LPC
• Susan Ann Thorson, NP
• Anthony Walton Thrasher, D.O.
• Chermarie Thrasher
• Three Rivers Therapy LLC
• Thrivehealth LLC
• Thriving Connections Assisted Living Home

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.